Nokea
A nurse is caring for an older adult client who is prescribed an antianxiety agent parenterally. Which of the following would be most important for the nurse to do?
- A. Arrange for a blood transfusion.
- B. Provide fiber-rich food.
- C. Provide plenty of fluids.
- D. Have resuscitative equipment ready.
Correct Answer: D
Rationale: The nurse should have resuscitative equipment ready because older adult clients may experience apnea and cardiac arrest during the treatment. Providing fiber-rich food and plenty of fluids is appropriate to prevent constipation and is unrelated to the use of the parenteral route. The need for a blood transfusion would not arise during the treatment.
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A client who is prescribed an anxiolytic tells the nurse that she is constipated. Which of the following would be most appropriate for the nurse to suggest? Select all that apply.
- A. Stop taking the drug.
- B. Increase fluid intake.
- C. Increase fiber intake.
- D. Ask to have the drug given by injection.
- E. Take the drug on an empty stomach.
Correct Answer: B,C
Rationale: Clients receiving an anxiolytic should be advised to increase fluid and fiber intake to address constipation. The drug should not be stopped or changed to an injectable form. Taking the drug on an empty stomach may lead to GI upset.
A client who experiences panic attacks in social situations has been prescribed an antianxiety medication. The nurse would assess which of the following before administering the drug?
- A. Temperature
- B. Blood pressure
- C. Blood sugar
- D. Red blood cell count
Correct Answer: B
Rationale: The nurse should check the client's blood pressure before administering the antianxiety drug because physiologic manifestations of panic attacks can include increased blood pressure. Temperature, blood sugar, and RBC count are not adversely affected by antianxiety drugs.
A client with anxiety is prescribed anxiolytic therapy. Before administering the drug, the nurse assesses the client for symptoms of anxiety. Which of the following would the nurse expect to find?
- A. Increased blood pressure
- B. Decreased muscle tension
- C. Increased glucose level
- D. Decreased pulse rate
Correct Answer: A
Rationale: Increased blood pressure is a manifestation of anxiety. Additional manifestations include increased pulse rate and increased muscle tension. Increased glucose levels are not associated with anxiety.
A nurse is preparing a teaching plan for a client who is prescribed an anxiolytic. As part of the plan, the nurse addresses medications that should be avoided to reduce the risk of increased CNS depression and sedation. Which of the following would the nurse include? Select all that apply.
- A. Alcohol
- B. Analgesics
- C. Digoxin
- D. Tricyclic antidepressants
- E. Antipsychotics
Correct Answer: A,B,D,E
Rationale: Alcohol, analgesics, tricyclic antidepressants, and antipsychotics should be used with caution with anxiolytics due to increased CNS depression and increased risk of sedation.
The nurse is assessing an infant at a well-child visit and notices that the infant has been losing weight and is lethargic. The mother is breastfeeding the child. The nurse questions the mother about any medications that she might be taking. Which of the following, if being taken by the mother, would alert the nurse to a problem? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Lorazepam
Correct Answer: A,D,E
Rationale: Benzodiazepines like alprazolam, chlordiazepoxide, and lorazepam taken by a breastfeeding mother can result in lethargy and weight loss in the infant. Buspirone and hydroxyzine do not appear to have the same effect.